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1.Name of your site or app

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2.Short description of your site or app

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3.Web site or web page URL

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4.Please provide the URL for a screen shot of your product if possible. You will also have the option to email a screen shot after you submit your information.

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5.How is your site or app used?

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6.Which version(s) of 3rdRail did you use to develop it?

2

1.x

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7.What made 3rdRail a good choice for developing it? How did 3rdRail make your development easier, save you time, or help you accomplish more?

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8.What do you like the most about 3rdRail or what would you like to tell the world about 3rdRail?

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9.Which industry does your application serve?

Other (please specify)

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10.Please enter your information. We won't publish your email address or phone number or add you to any mailing lists.

Name:

Company Name:

Country:

Email Address:

Phone Number (optional):

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11.Can Embarcadero contact you about helping promote 3rdRail in any of these additional ways:

Yes

No

Joint case study highlighting your product and use of 3rdRail

Joint case study highlighting your product and use of 3rdRail Yes

Joint case study highlighting your product and use of 3rdRail No

Serve as a reference customer to speak with other potential customers

Serve as a reference customer to speak with other potential customers Yes

Serve as a reference customer to speak with other potential customers No

Serve as a customer reference for press articles and press releases

Serve as a customer reference for press articles and press releases Yes

Serve as a customer reference for press articles and press releases No

Participating in user or focus groups (in person, on phone)

Participating in user or focus groups (in person, on phone) Yes

Participating in user or focus groups (in person, on phone) No

Participating in beta tests

Participating in beta tests Yes

Participating in beta tests No

Providing a video testimonial

Providing a video testimonial Yes

Providing a video testimonial No

By submitting this form, I give Embarcadero permission to use the information for sales tools and marketing materials to help promote 3rdRail. Embarcadero may also use a screen shot of my product to represent it. I understand that Embarcadero will not publish my email address or phone number.